Individual
DR. HECTOR IVAN ASENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1523 ROSWELL RD APT 236, MARIETTA, GA 30062-9027
(787) 367-2743
Mailing address
1523 ROSWELL RD APT 236, MARIETTA, GA 30062-9027
(787) 367-2743
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO09987
GA
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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